Provider Demographics
NPI:1679710198
Name:VISITING CARE ASSOCIATION OF FLORIDA PARISHES, LLA
Entity Type:Organization
Organization Name:VISITING CARE ASSOCIATION OF FLORIDA PARISHES, LLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-340-8933
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:NATALBANY
Mailing Address - State:LA
Mailing Address - Zip Code:70451-1420
Mailing Address - Country:US
Mailing Address - Phone:985-340-8933
Mailing Address - Fax:985-340-8821
Practice Address - Street 1:207 E CHARLES ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-3305
Practice Address - Country:US
Practice Address - Phone:985-340-8933
Practice Address - Fax:985-340-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15126253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1336149Medicaid
LA1333221Medicaid
LA1335843Medicaid
LA1336131Medicaid
LA1335746Medicaid